﻿{extend name="base_iframe" /}


{block name="body"}


<form class="form-horizontal ajax-form"  method="post" >
	<div class="row box-ota-info">
		<div class="col-md-12">
			<div class="box-body">


				<div class="form-group">
					<div class="col-sm-2"></div>
				</div>

				<div class="form-group">
					<label class="col-sm-2 control-label">收货人</label>
					<div class="col-sm-8">
						<input type="text" class="form-control" name="consignee" placeholder="请输入用收货人" value="" />
					</div>
				</div>

				<div class="form-group"  id="address">
					<label class="col-sm-2 control-label">收货地址</label>
					<div class="col-sm-3">
						<select class="form-control province" name="province">
						</select>
					</div>

					<div class="col-sm-3">
						<select class="form-control city" name="city">
						</select>
					</div>

					<div class="col-sm-2">
						<select class="form-control area" name="area">
						</select>
					</div>
				</div>

				<div class="form-group">
					<label class="col-sm-2 control-label">详细地址</label>
					<div class="col-sm-8">
						<textarea name="addr" rows="3" class="form-control"></textarea>
					</div>
				</div>

				<div class="form-group">
					<label class="col-sm-2 control-label">邮政编码</label>
					<div class="col-sm-8">
						<input type="text" class="form-control" name="zipcode" placeholder="请输入邮政编码" value="" />
					</div>
				</div>

				<div class="form-group">
					<label class="col-sm-2 control-label">手机号码</label>
					<div class="col-sm-8">
						<input type="text" class="form-control" name="mobile" placeholder="请输入手机号码" value="" />
					</div>
				</div>






			</div>
		</div>
	</div>
</form>

{/block}

{block name="js"}
<script type="text/javascript">
  var cityDataUrl = '__STATIC__/plugins/cxSelect/cityData.min.json';
</script>
{/block}

{block name="script"}
	<script type="text/javascript" src="__HJS__/user_address/add.js"></script>
{/block}